Care Home: Redclyffe Residential Care Home

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What the care home does well Redclyffe Residential Home continues to consult the people who use the service to improve the quality of care and promote their choice of lifestyle. The information held in the care files about individual needs and lifestyle is kept up to date and communicated with staff. This means staff have up to date information about people to ensure they have the right care and level of support that they need, which maintains and promotes their wellbeing and independence. Care plans and risk assessments are reviewed regularly to ensure current needs are identified and continue to be met by staff. Redclyffe Residential Home has a friendly and warm atmosphere. Several people felt is was "homely", which attracted them to choosing to move to the home. We observed staffresponding to people`s requests and saw staff spending quality time with people individually. Throughout the day there were activities taking place in small groups or on a one-to-one basis, either in the lounge or in the bedroom, especially if the person prefers to remain in their room. We observed staff treating people with respect and dignity at all times. People were helped by staff in a sensitive and unhurried manner at meal times, so that they can enjoy their meal. Staff demonstrated a commitment and passion for caring and looking after the people who live at Redclyffe Residential Home. Staff skills and knowledge is maintained through annual training programme and updates, which includes dementia awareness. Staff benefit from additional specialist training provided by the District Nurse Team and local hospital, such as Parkinson`s and diabetes. Staff have regular meetings and supervision. The Registered Manager is available and involved with the staff and more importantly with the people that live at the home and their relatives. The home employs a stable team of domestic and care staff, that ensure people`s needs are met and their home is clean and tidy at all times. The management, recruitment and training of staff is robust. There is a programme of staff training to ensure staff skill-mix, knowledge and practice is in line with current best practice. This promotes people`s health and wellbeing. The management of records relating to the people who use the service, staff, complaints, policies and procedures, and the quality assurance and monitoring systems are good. The Registered Manager and the staff team are keen to continuously improve the quality of service and life experienced by the people who live at the home. Some of the comments we received in the surveys from people who use the service, relatives and from our discussions during the site visit included: "Gives professional care at all times and meets my needs" "They appear to be genuinely fond of their residents and show patients to those who need a lot of attention" "It is very good and friendly with all residents, which is good and with dementia patients" "A good close-knit family feeling with all the residents" "The staff and manager are always cheerful and helpful" "All staff are caring, friendly and pleasant" "Good meals provided" "Very satisfied with what`s being done" "All the staff are friendly, happy and helpful and a credit to the home" What the care home could do better: This was a positive site visit to Redclyffe Residential Home. The requirements and recommendations made at the last Key Inspection have been addressed to ensure the health, safety and wellbeing of people who live at the home. All health and social care services must meet the registration requirements for the new `Health and Social Care Act 2008`, coming into force this year. Random inspection report Care homes for older people Name: Address: Redclyffe Residential Care Home 1 Pightles Terrace Rushden Northants NN10 0LN two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Rajshree Mistry Date: 1 9 0 5 2 0 1 0 Information about the care home Name of care home: Address: Redclyffe Residential Care Home 1 Pightles Terrace Rushden Northants NN10 0LN 01933314645 01933359420 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Vinodkumar Nair Type of registration: Number of places registered: Conditions of registration: Category(ies) : BPS Care Homes Limited care home 24 Number of places (if applicable): Under 65 Over 65 14 24 dementia old age, not falling within any other category Conditions of registration: 0 0 No person falling within the category Dementia over 65 years of age DE(E) may be admitted to the home when there are already 14 persons in the category DE(E) in the home. No person falling within the category Older People (OP) can be admitted when there are already 24 persons of category OP in the home. Date of last inspection Brief description of the care home Redclyffe Residential Home is a care home providing personal care for up to 24 older people, of which, up to 14 places are for people with dementia care needs. Care Homes for Older People Page 2 of 13 Brief description of the care home Redclyffe Residential Home is a well established building located in a residential area of Rushden, Northampton. It is within reasonable travelling distance of the town centre and local amenities. The premises include a new extension and accommodation is provided over two floors with the majority of bedrooms are single and there are some double rooms also available. Eleven bedrooms have en-suite facilities. Communal space includes homely dining and lounge areas. There is a passenger lift to the upper floor in the main building and a stair lift to the upper floor in the extension. There is a garden to the rear, which is accessible to people and ensures their safety. The Registered Manager provided us with the current fees ranging from £500.00 to £520.00 per week. There are additional charges for personal expenditure such as personal toiletries and private chiropody. Further information about Redclyffe Residential Home and any specific requirements can be obtained in the form of the Statement of Purpose and the Service User Guide. The findings of the most recent inspection carried out by the Care Quality Commission (CQC) can be found in their Inspection Report, which is available at the home or accessible via our website: www.cqc.org.uk Care Homes for Older People Page 3 of 13 What we found: We as it appears throughout this Random Inspection Report refers to the Care Quality Commission (CQC). This Random Inspection of Redclyffe Residential Home consisted of pre-planning the inspection, which included the review of the last Key Inspection dated 30th August 2007, the Annual Service Review 15th September 2009 and any significant information we received about the home. We received the Annual Quality Assurance Assessment (AQAA), which is a self-assessment tool completed by the Registered Manager and sent to us prior to our site visit. The AQAA was comprehensive and demonstrated how peoples needs are met, range of services and facilities offered to people, the quality and skill-mix of staff and the management of the home. It told us the improvements that have been made and the improvements planned for the future. We also reviewed the responses and comments received in the surveys from the people who live at the home, their relatives, health care professionals and staff. This unannounced site visit took place on 19th May 2010, commencing at 10:30am and lasted 5 hours. The purpose and focus of this inspection is to check on the requirements issued at the last Key Inspection and to ensure people who use the service continue to have their needs met, which promotes their wellbeing. During the site visit we were assisted by the Registered Manager and the Head of Care. We also briefly met with the Registered Provider (owner) of Redclyffe Residential Home. We found the information about Redclyffe Residential Home: Service User Guide and the Statement of Purpose have been updated to reflect the services, facilities, staffing and the management of the home including key policies and procedures. This supported the information we gathered from the AQAA and survey responses from people who use the service, indicating people who use the service are give up to date information. We spoke with three people who use the service, which included a person that was relatively new to the home. They described to us their experience of finding the home and the admission process to ensure they were confident that the home was the right place for them. People told us that they are helped by staff to manage their personal care, have their medication and health support on time, and have the opportunity to take part in activities arranged by the home. The information we gathered from the AQAA told us that care plans have been revised and person centred and have a key-worker system in place, whereby named staff have responsibility for several residents. It also told us that the home has good links with Health Professionals such as District Nurses, General Practitioners (GP), Chiropodist and Pharmacist. We read three care files, which contained a robust pre-admission assessment completed by the Registered Manager. It showed people were involved during the assessment and care planning processes to ensure their needs were clearly identified and how these would be met. The care plans have been revised and updated to show the level of care and support Care Homes for Older People Page 4 of 13 people need, individual daily routines, special diets and preferences that promotes their wellbeing and independence. We found assessments of risk had been completed for people such as falls and safety measures were detailed in the care plans to guide the staff. The people we spoke with including a visiting relative said that they are consulted and invited to attend the review meetings. This supported the information in the AQAA and the survey responses. Some of the comments we received in the surveys from people who use the service, relatives and from our discussions during the site visit included: I felt comfortable with the atmosphere and the staff, they were kind and friendly (comment from the newest resident during their initial visit to the home) Keeps family informed if I am ill at anytime It is very good and friendly with all residents, which is good and with dementia patients I wish hed come here in the first place, its lovely, welcoming home and Dads every need is met from having a good clean shave to eating his meals in private The staff we spoke with including the newest member of staff showed they knew the people they look after, their individual routines and preferences. Staff were aware of peoples needs and said that they check the care plans and read the daily notes after the daily hand overs meetings between staff. This showed staff communicate well with each other and familiarise themselves with people needs by reading the care plans. This was consistent with the responses we received in the staff surveys and supported the practice detailed in the AQAA. We found the medication trolley is stored securely in the medication room. We observed in part the medication given out at lunch time by the Head of Care. It was managed consistently with good practice, checking the name of the individual and the medication, giving out the medication and completing the records once the medication is taken. We also checked the medication records and the medication for three people whose records we have viewed and found these to be in good order. The Head of Care and staff confirmed only trained staff are allowed to administer medication and they receive annual updates to maintain best practice. The prescribed Controlled Drugs are stored in an approved controlled drugs unit. We checked the prescribed controlled drugs and records for two people and found these to be in good order. The care files contained current information about peoples health treatment and medication that they were taking. Records of visits and treatment administered by the GP or the District Nurses were recorded and demonstrated peoples needs needs were met. People using the service told us that they always have their medication on time and confident that the GP is called when required. This supported the information we gathered in the AQAA and the comments we received in the surveys, which included: Get the medicines on time and enjoys quite a good life Care Homes for Older People Page 5 of 13 We see the GP when its needed The information we gathered from the AQAA stated the home arranges a flexible and varied leisure and social activities from motivation classes, musical sessions, reminiscence therapy to outings and trips on boats, theatre and shopping. Also stated people are supported to continue practicing their religious beliefs and receive visitors to the home at any time. During our site visit we observed staff doing activities in small groups in the lounge and individually with people. Some people preferred spending time in their rooms, watching television; doing puzzles or word search. The home has also purchased a new large flat screen television, making is easier for people to view programmes. We noted that the monthly activities programme was displayed in the foyer, informing people of the events planned. The responses we received in the surveys from people who use the service also confirmed that there are a variety of activities people can take part in, both in small groups and one-to-one activity. The Cook told us they find out what people like to eat including special or cultural dietary needs. The told us people will say what they like to eat and dont like. We found out that at the Residents & Relatives meetings, meals and menus are discussed, indicating people are encouraged to comment on the variety and the quality of meals. We observed meal times, some people preferred to eat in private whilst the majority had their meals in the dining room. Several ladies were seen setting the dining table and taking pride in the presentation. There was a choice of meals, from sausage casserole and vegetables, vegetarian meal and ham salad. We saw a member of staff helping a gentleman with his meal, which was done in a sensitive manner and made it an enjoyable experience. The comments we received from people we spoke with during the site visit and in the surveys included: I still walk into town but usually get a taxi back It cares; activities are fun although my wife is unable to join in Im really looking forward to the World Cup, although the TV went on the blink yesterday but they got it fixed straight away I set the dining table everyday Occasionally Ive had a meal here, same as dads but for him the roast chicken with softened and the vegetables cut into really small bite sizes and you see him enjoying the meal. He prefers to eat in private The information we gathered from the AQAA stated there is a clear complaints procedure and people are given a copy when they move to the home. It also stated that staff receive annual training in safeguarding adults procedures. Safeguarding means the promotion of vulnerable peoples wellbeing and protecting them from harm, risk or abuse. The AQAA states the home has not received any complaints since the last Key Inspection. Care Homes for Older People Page 6 of 13 We wanted to find out whether people who live at the home knew who to speak with if they were unhappy or wanted to make a formal complaint. Three people told us there was little to complain about and felt confident to speak with the staff, Registered Manager or the Owner, who visits regularly. This was consistent with the responses and comments we received in the surveys, which included: If any problems should arise, they are dealt with straight away No complaints You just tell the staff if theres something wrong, no problems The Care Quality Commission received no concerns or complaints about Redclyffe Residential Home. The staff we spoke with demonstrated a good understanding of their responsibility with regards to safeguarding, the types of abuse that could occur and what action they would take. Staff spoke positively about the amount of training and good communication they have amongst the staff team, giving people a better quality of life at the home. The staff training records and training matrix view showed staff had completed training in safeguarding adults and dementia training to help them understand how dementia affects people. Redclyffe Residential Home is an establish property, set in a residential area in Rushden, Northampton. There is homely ambiance and welcoming atmosphere in the home, people talking, laughing and some people moving around the home. The home is well-decorated with furniture and furnishing to compliment the decor. The majority of bedrooms are single some with en-suite facilities and there are some shared rooms. We saw a number of bedrooms, all individually decorated and personalised. The information we gathered from the AQAA detailed the improvements made to the home, which we had seen. These included decoration of the communal areas, new plasma television, new bedroom door lock and friendly door handles. The Registered Provider (owner) shared some of the visions and plans for the future and said they would share these with the residents and staff at a later stage. The management of laundry and infection control practices are good and in accordance with the current best practice. Staff were seen wearing protective gloves and aprons when preparing to assist people with personal care tasks or handling meals. Staff demonstrated good understanding of infection control, food hygiene, health and safety, moving and handling and confirmed that they have regular training to maintain their skills. People who live at the home told us they were happy with the facilities, laundry arrangements and felt staff respected their privacy when they were in their bedrooms. This shows people who live at the home are protected and their wellbeing is promoted. We spoke with three staff including a new member of staff who described to us the recruitment process they underwent, induction, training and supervision they receive. We checked three staff recruitment files and found all contained records of satisfactory preemployment checks: two written references and a criminal records bureau (crb) check. This is a check to assess the suitability of the applicant to work with vulnerable people. Care Homes for Older People Page 7 of 13 We also saw records of meetings such as supervision, appraisals and team meetings are kept, showing staff are supported and valued. We looked at the staff training records maintained by the Registered Manager and the annual training plan, which was referred to in the AQAA. We found staff complete the Skills for Care Induction programme and are required to undertake mandatory training. This includes moving and handling, infection control, health and safety, safeguarding adults, first aid, dementia awareness and medication. It demonstrated that staff are skilled and knowledgeable to care for older people and people with dementia. The responses in the staff surveys indicated staff are supported by the manager, receive training and have a good communication system between staff. Staff on the day told us they felt supported, received supervision and worked well as a team. Staff have clear roles and responsibilities, ranging from domestic staff, care staff, Seniors and Head of Care. The staff rota we looked at reflected the staff on duty on the day. This showed staffing levels were appropriate to meet the needs of the residents, ensuring a positive outcome and experiences for people. The information we gathered from the AQAA stated people are consulted via the Residents & Relatives meeting. We read the minutes of the last residents meeting, which took place on 5th May 2010 and covered topics such as the plasma TV, meals, activities and suggested improvements. There is also a newsletter produced quarterly for the residents at the home, informing them of events that have happened, due to take place and articles of interest. People are supported to manage their own money. Some people prefer to have their personal allowance held in safekeeping at the home. The Registered Manager described the system in place. We randomly checked three financial expenditure records, and found these to be in good order, whereby two staff are required to sign for any transactions made and receipts kept. The Registered Manager showed us the findings from a recent quality assurance survey carried out with the residents in the home. A further quality assurance survey is due to take place, whereby relatives of the people who live at the home and health care professionals would be surveyed. This shows the home gives people the opportunity to comment on the quality of service offered and experienced at Redclyffe Residential Home. What the care home does well: Redclyffe Residential Home continues to consult the people who use the service to improve the quality of care and promote their choice of lifestyle. The information held in the care files about individual needs and lifestyle is kept up to date and communicated with staff. This means staff have up to date information about people to ensure they have the right care and level of support that they need, which maintains and promotes their wellbeing and independence. Care plans and risk assessments are reviewed regularly to ensure current needs are identified and continue to be met by staff. Redclyffe Residential Home has a friendly and warm atmosphere. Several people felt is was homely, which attracted them to choosing to move to the home. We observed staff Care Homes for Older People Page 8 of 13 responding to peoples requests and saw staff spending quality time with people individually. Throughout the day there were activities taking place in small groups or on a one-to-one basis, either in the lounge or in the bedroom, especially if the person prefers to remain in their room. We observed staff treating people with respect and dignity at all times. People were helped by staff in a sensitive and unhurried manner at meal times, so that they can enjoy their meal. Staff demonstrated a commitment and passion for caring and looking after the people who live at Redclyffe Residential Home. Staff skills and knowledge is maintained through annual training programme and updates, which includes dementia awareness. Staff benefit from additional specialist training provided by the District Nurse Team and local hospital, such as Parkinsons and diabetes. Staff have regular meetings and supervision. The Registered Manager is available and involved with the staff and more importantly with the people that live at the home and their relatives. The home employs a stable team of domestic and care staff, that ensure peoples needs are met and their home is clean and tidy at all times. The management, recruitment and training of staff is robust. There is a programme of staff training to ensure staff skill-mix, knowledge and practice is in line with current best practice. This promotes peoples health and wellbeing. The management of records relating to the people who use the service, staff, complaints, policies and procedures, and the quality assurance and monitoring systems are good. The Registered Manager and the staff team are keen to continuously improve the quality of service and life experienced by the people who live at the home. Some of the comments we received in the surveys from people who use the service, relatives and from our discussions during the site visit included: Gives professional care at all times and meets my needs They appear to be genuinely fond of their residents and show patients to those who need a lot of attention It is very good and friendly with all residents, which is good and with dementia patients A good close-knit family feeling with all the residents The staff and manager are always cheerful and helpful All staff are caring, friendly and pleasant Good meals provided Very satisfied with whats being done All the staff are friendly, happy and helpful and a credit to the home Care Homes for Older People Page 9 of 13 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 10 of 13 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 11 of 13 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 12 of 13 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 13 of 13 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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